Injury Or Near Miss Report Form
This electronic form must be completed for injuries or near-miss incidents involving employees, students, and visitors that occur on the job or during BBCC activities/events on or off-campus. The form should be completed within 24 hours of an incident.
A near miss is when an unplanned event occurs resulting in no injuries or damages but had the potential for such. These are important to report as near-miss reporting can help us prevent an injury in the future.
The form is electronic only – no hard copy. When you complete the form, press the submit button at the bottom of the page. You should also print a copy for yourself.
This electronic form is not intended for the reporting of crime incidents. To report a crime, call Campus Safety (509) 793-2286.
If the incident results in a fatality, amputation, or hospitalization, call Campus Safety at (509) 793-2286.